Acne Prevalence in Elementary School Students – A Comparative Epidemiological Study Between Kaohsiung County and Magong TownshipMin-Chien Tsai , Chih-Sheng Lai , Cheng-Yu Wang , Yu-Wen Cheng , Guan-Yu Chen , WenChieh Chen , Tsung-Jen Hsu
Dermatol Sinica 24:9-14,2006
Abstract
Acne is a common skin disease usually beginning in adolescence. The epidemiology of acne in Taiwan has been less intensively investigated. A total of 4,067 and 3,274 children (aged 6-12 years) in Kaohsiung county and Magong township were examined by board-certified dermatologists, respectively. The point prevalence of acne did not differ between the two populations (17.6 % vs. 17.3%). The female to male ratio was 2.1 in Kaohsiung and 1.5 in Magong. More inflammatory lesions (12.6%) ..................More

Case Report

Linear IgA disease complicated by erythema multiformeChing Yin Neoh, Malcolm W Greaves, M Priyanthi Kumarasinghe
Dermatol Sinica 24:27-31,2006
ABSTRACT
A 55-year-old Chinese man presented with acute onset of a vesicobullous rash on his face, axillae, genitalia and trunk. The skin biopsy showed a subepidermal bulla. The diagnosis was made by direct immunofluorescence of the perilesional skin which revealed characteristic linear deposition of IgA along the dermoepidermal junction. He was successfully treated with dapsone initially but subsequently developed erythema multiforme, possibly due to dapsone. Linear IgA dermatosis should be ..................More

Disseminated Lupus Vulgaris with Clinical Manifestations of Classical plaque, Cicatricial Alopecia and Chronic UlcerPo-Han Wang, Wan-Ting Chiu, Shu-Ling Hu
Dermatol Sinica 24:32-37,2006
Lupus vulgaris (LV) is a chronic and progressive form of cutaneous tuberculosis
occurring in individual with a moderate to high degree of immunity. It generally arises
from endogenous spread of tuberculosis of other organs. The lesions are usually
solitary and affect the head and neck. We report a 65-year-old woman with a history of
metastatic breast cancer who showed multiple lesions on different skin areas. There
was an ulcerated lesion on the right thigh for about two years. Tw ..................More

Granulomatous Periorificial Dermatitis in a Young WomanYu-Wen Li , Ming-Tuo Chuan , Shu-Ling Hu
Dermatol Sinica 24:38-41,2006
Granulomatous periorificial dermatitis is a skin disease presenting predominantly
in prepubertal black-skinned children. It is characterized by tiny, monomorphous,
papular eruptions around the mouth, nose and eyes. Extra-facial lesions in children
had also been reported. These lesions are self-limited and resolved without scarring in
most cases. We report a 28-year-old woman presented with pink to normal skin
colored, discrete and coalescing papules ranging from 1 to 3 mm in diameter o ..................More

Tyrosinemia, Type II- A Case ReportCheng-Hung Huang, Ming-Tzen Liu
Dermatol Sinica 24:42-46,2006
Tyrosinemia type II (also known as Richner-Hanhart syndrome) is a rare disease
caused by a deficiency of hepatic tyrosine aminotransferase (TAT) with an autosomal
recessive mode of inheritance, resulting in elevated plasma and urinary tyrosine
concentrations. The main cutaneous manifestation is hyperkeratosis over the hands
and feet. Herein, we report a 27-month-old girl with frequent tearing and photophobia
since several months after birth and hyperkeratosis over fingers and bilateral ..................More

Multicentric Infantile Myofibromatosis Report of a CaseChien-Chun, Chiou I-Hsin Shih, Tseng-tong Kuo, Hong-Shang Hong
Dermatol Sinica 24:47-51,2006
ABSTRACT
We present a case of multicentric infantile myofibromatosis in a 3-month-old male
infant who had multiple papular lesions on his extremities and trunk and a slowly
growing and bulging mass on his left occipital area since birth. His general physical
condition was good and psychomotor development was normal. The diagnosis was
established by histopathological and immunohistochemical studies along with clinical
manifestations and imaging findings. The patient underwent left occi ..................More

Cutaneous Hyalohyphomycosis Caused by Paecilomyces marquandii— A Case ReportChe-Hao Hsu, Ming-Tuo Chuan* , Wan-Ting Chiu Shu-Ling Hu
Dermatol Sinica 24:52-57,2006
Paecilomyces species are ubiquitous saprophytic fungi that rarely cause human
infections. We report herein a case of an immunocompromised patient with cutaneous
hyalohyphomycosis caused by P. marquandii. The 68-year-old male suffered from
diabetes mellitus, chronic obstructive lung disease, and iatrogenic Cushing syndrome
due to a prolonged use of a systemic steroid for asthma. He fell down in the farm
while gardening and many pustules and fluctuating ulcerative nodules with pus
disc ..................More

Cutaneous Leishmaniasis: A Case Confirmed by Both Histopathologic Examination and Polymerase Chain ReactionMing-Hsiung Yeh , Mei-Chin Ho , Yu-Hung Wu , Shu-Ling Hu
Dermatol Sinica 24:58-62,2006
Leishmaniasis is caused by intracellular protozoa of the genus Leishmania and transmitted by the
bite of female sandflies. Clinically, it is classified into cutaneous, diffuse cutaneous, mucocutaneous,
and visceral forms. We report an imported case of cutaneous leishmaniasis. A 50-year-old male
international constructor who had worked in Burkina Faso developed two red papules on right upper
arm one month after he left Burkina Faso. The cutaneous lesions gradually progressed into
erythe ..................More

Cutaneous Intravascular Large B-cell Lymphoma–A Case ReportCheng-Sheng Chiu Hua-en Lee Hong-Shang Hong Tseng-tong Kuo
Dermatol Sinica 24:63-66,2006
ABSTRACT
Intravascular large B-cell lymphoma (LBCL), a subtype of extranodal diffuse large
B-cell lymphoma, is a rare and usually fatal disease characterized by the presence of
lymphoma cells in the lumina of small vessels. Obstruction of blood flow by tumor
cells in different organs can cause a variety of clinical manifestations, including the
nervous and respiratory systems and skin. Biopsy of the involved organs for
pathologic study is needed for establishing the diagnosis. We repo ..................More

An Asymptomatic Zosterifrom Skin-Colored Plaque On The Right Upper Back In A 25-Year-Old WomenWu-Ching Chen , Tsen-Fang Tsai* , Yu-Fu Chen , Chih-Ming Hung
Dermatol Sinica 24:72-73,2006
CASE REPORT
A 25-year-old female presented with a zosteriform plaque on the right side of the upper
back since birth. The skin lesion was asymptomatic. Her general health was well and her
delivery was without complications. There was no history of similar lesions in family
members and no family history of tuberous sclerosis or consanguinity. On physical
examination, the plaque was soft to elastic, well-defined, skin-colored, cobblestone-like
along the right T3 – T4 dermatomes. The ..................More

Erythematous, Verrucous Plaques on the Dorsum of Left Hand of a 73-year-old ManYu-Ju Tsai , Shu-Ling Hu , Chung-Chin Cheng
Dermatol Sinica 24:74-75,2006
CASE REPORT
The 73-year-old man had diabetes mellitus and hypertension with medical control. He
noticed an asymptomatic red lesion on the dorsal aspect of his left hand 3 years ago.
New lesions extended to his left wrist later. He had received skin biopsy at other
hospitals and deep fungal infection was suspected histologically, but the culture
results were all negative. At our department, 3 variable-sized, irregular-shaped,
erythematous, verrucous plaques with pustules on the left ha ..................More

Multiple Keratotic Papules on the Left Sole of a 35-year-old WomanChe-Hao Hsu , Tzu-Ling Hsu , Shu-Ling Hu
Dermatol Sinica 24:76-77,2006
CASE REPORT
A 35-year-old female presented with multiple asymptomatic spiny protrusions on
her left sole, which gradually accumulated for 2 years. Clinical examination revealed
hundreds of asymmetrically distributed, minute, flesh-colored, keratotic papules on
the patient’s left sole (Fig. 1). On close-up inspection, the lesions, which measured 0.5
to 2 mm in height, were firmly attached. The papules appeared like crystals emerging
from the skin (Fig. 2). The surrounding skin of the ..................More

Exophytic Masses on the Scrotum with Multiple Draining SinusesChe-Hao Hsu , Jung-Yi Chan , Hung-Chi Yang , Shu-Ling Hu
Dermatol Sinica 24:78-79,2006
CASE REPORT
A 58-year-old male suffered from multiple draining sinuses involving the
buttocks and the scrotum for more than 30 years. His skin condition had deteriorated
over the past 12 months and three exophytic tumors had rapidly arisen from the
scrotum. His medical history was significant for a peptic ulcer and alcoholic liver
disease. The physical examination revealed widespread scarring and induration of the
gluteal region and the scrotum, with dense networks of sinus tracts tha ..................More